New Patient Registration Form

NHSFamily doctor services registrationGMS1

Patient's Details

Please use this date format: DD/MM/YYYY.

Please help us trace your previous medical records by providing the following information

If you are from abroad

Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.

If you are returning from the armed forces

Please use this date format: DD/MM/YYYY.

If you are registering a child under 5

If you need your doctor to dispense medicines and appliances

Not all doctors are authorised to dispence medicines